UR Case Manager
$37/h-$42/h
Alvarado Parkway Institute Behavioral Health Systema day ago
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OnsiteFull-timeEntry
Summary
Alvarado Parkway Institute Behavioral Health System is seeking a UR Case Manager to join their team in El Cajon, CA. The role involves monitoring the utilization of services and treatments for inpatient and outpatient levels of care.
About the Role
As a UR Case Manager, you will conduct admission reviews, concurrent and extended stay reviews, prepare and submit appeals to third-party payers, and maintain appropriate records of the Utilization Review Department. You will also participate in activities that enhance professional growth and development.
About You
Required:
- Graduate of accredited RN/LVN program and current RN/LVN license or Master’s level training.
- High school, preferably college, level reading, writing, and math skills.
- Excellent telephone usage skills and strong verbal skills.
- Knowledge of health care service delivery systems and third-party reimbursement.
- Understanding of admission and discharge function.
- Familiarity with medical terminology, diagnostic terms, and treatment modalities.
- Knowledge of medical record keeping.
- Strong interpersonal, organizational, evaluative, and time management skills.
- Policy interpretation skills.
- Familiarity with applicable standards and regulations.
- Able to comprehend psychiatric evaluations, consults, lab results, etc.
- Flexibility, attention to detail, responsiveness to deadlines, assertiveness, persistence, and persuasiveness.
- Able to work with minimal direction or supervision.
Preferred:
- Experience in psychiatric field preferred.
Benefits
- Competitive hourly wage of $37.00 - $42.00.
- Opportunities for professional growth and development.
Alvarado Parkway Institute Behavioral Health System
Alvarado Parkway Institute Behavioral Health System (API) is focused on meeting the needs of the whole patient by providing a Continuum of Care. We offer a full spectrum of mental health and addictive disorder services designed to promote rapid stabilization, reduce symptoms, and develop new coping skills. The current system includes a 66-bed inpatient hospital, Partial Hospitalization and Outpatient services, three Intensive Outpatient facilities, Jackson House, a short-term Crisis residential treatment program, Promontory, an In-home Healthcare practice and 4Front Pharmacy, a full-service pharmacy with a emphasis on behavioral health and addictive disorder needs. For more information on API visit www.apibhs.com
El Cajon, CA